Provider Demographics
NPI:1851878631
Name:FRONT RANGE HEALTH PARTNERS, LLC
Entity Type:Organization
Organization Name:FRONT RANGE HEALTH PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:R
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:GIRARD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CAC II, CHC
Authorized Official - Phone:303-432-5955
Mailing Address - Street 1:9101 HARLAN ST UNIT 100
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-2961
Mailing Address - Country:US
Mailing Address - Phone:303-432-5955
Mailing Address - Fax:
Practice Address - Street 1:9101 HARLAN ST UNIT 100
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-2961
Practice Address - Country:US
Practice Address - Phone:303-432-5955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization